See pg 3 of that PDF link Lit gave- suggestions on best way to fill it out - But what is done is done, just have to wait if you already filled it out.
For next time...

[• Fill out the form exactly as instructed. Use a box for each
letter or number. If the boxes run out, stop, even if it’s mid-
word.
• No new information. The goal of this form is to simply
confirm the information they already have, so an individual
does not want to include any changes, not even administra-
tive changes such as an address change on this form. New
information will cause the form to be kicked out for human
review.
• Use original diagnosis. Under “Reason for Last Visit,” use
the same diagnosis for which the individual was originally
approved.
] http://nymakesworkpay.org/docs/Guide_CDR.pdf